Chronic Suppurative Osteomyelitis of the Mandible: Case Report and Review

Osteomyelitis is a challenging disease for clinicians and patients despite the many advances in diagnosis and treatment. Chronic suppurative osteomyelitis (CSO) of the mandible is often considered difficult to treat. Several authors conclude that CSO can be treated successfully by a combination of intravenous antimicrobial therapy and surgery consisting of sequestrectomy or decortication, the recently advocated use of adjunctive treatment such as hyperbaric oxygen, gentamycin or tobramycin beads and heparin streptokinase infusion, supposedly lead to better results and suggest a substantial reduction in the number of refractory cases of CSO. This paper presents a relatively simple treatment in a case of chronic suppurative osteomyelitis along with a short review.